The Trump administration has other ideas that have nothing to do with Medicaid: White House officials have requested proposals to instead find savings by pursuing a “most favored nation” drug-purchasing policy linking certain government payments for pharmaceuticals to the lower prices paid abroad, reviving a push from his first term.

House Republicans are rushing full speed ahead to pass Donald Trump‘s agenda, but their efforts have hit a hurdle in the form of Medicaid. There is a growing divide among House Republicans over using deep cuts to Medicaid to pay for their megabill with its massive tax cuts and provisions for border security and national defense.

President Donald Trump's fellow Republicans in the U.S. Congress are weighing steep cuts to the Medicaid health program as part of a wide-ranging budget package that also would cut taxes and raise spending on defense and border security.

House Republican proposals to slash government spending on Medicaid could devastate the insurance program that covers 40 percent of District residents.

The potential $880 billion in Medicaid cuts could hurt the finances of nursing homes and lead to reduced services or outright closures, cutting care for the most vulnerable older